Pitpitan Eileen V, Strathdee Steffanie A, Semple Shirley J, Wagner Karla D, Chavarin Claudia V, Earnshaw Valerie A, Patterson Thomas L
Division of Global Public Health, Department of Medicine, University of California San Diego, San Diego, USA,
J Immigr Minor Health. 2015 Feb;17(1):172-80. doi: 10.1007/s10903-013-9895-4.
HIV prevention efforts must be comprehensive in their understanding of the factors involved in HIV risk. Male clients, who have received less research attention than female sex workers (FSWs), may experience stigma as a function of purchasing sex. Perceived stigma may be related to poor psychological outcomes, risky psychosexual characteristics, and higher drug and sexual risk behavior among male clients of FSWs. However, perceived stigma of purchasing sex may differ between clients of different ethnic groups. In the present study, we examine the correlates of perceived stigma of purchasing sex among Latino versus non-Latino male clients of FSWs in Tijuana, Mexico. Using time-location sampling, we recruited 375 male clients (323 Latino, 52 non-Latino) in Tijuana who completed a computerized survey on various measures. We measured perceived stigma of purchasing sex using three items we developed for this study. Using linear regression analyses we found that perceived stigma was associated with greater guilt, a greater feeling of escape from everyday life, and more negative condom attitudes among Latino clients. This was not found among non-Latino clients. Features of Latino culture, like machismo, and how they may relate to stigma of purchasing sex are discussed.
艾滋病预防工作必须全面理解与艾滋病风险相关的各种因素。与女性性工作者相比，男性嫖客受到的研究关注较少，他们可能因购买性服务而遭受污名化。感知到的污名可能与不良心理后果、危险的性心理特征以及女性性工作者男性嫖客中更高的毒品和性风险行为有关。然而，不同种族群体的嫖客对购买性服务的感知污名可能存在差异。在本研究中，我们调查了墨西哥蒂华纳市拉丁裔与非拉丁裔女性性工作者男性嫖客对购买性服务的感知污名的相关因素。我们采用时间地点抽样法，在蒂华纳招募了375名男性嫖客（323名拉丁裔，52名非拉丁裔），他们完成了一项关于各种指标的计算机化调查。我们使用为本研究开发的三个项目来测量对购买性服务的感知污名。通过线性回归分析，我们发现感知污名与拉丁裔嫖客中更大的内疚感、更强的逃避日常生活的感觉以及更消极的避孕套态度有关。在非拉丁裔嫖客中未发现这种情况。我们还讨论了拉丁文化特征，如大男子主义，以及它们与购买性服务污名的可能关系。
